Organization
COR GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELYSA IRIS LEVY OTR/L (OCCUPATIONAL THERAPIST)
(201) 218-8772
Entity
Organization
Contact information
Practice address
294 HARRINGTON AVE, SUITE 6, CLOSTER, NJ 07624-1912
(201) 564-7331
Mailing address
294 HARRINGTON AVENUE, SUITE 6, CLOSTER, NJ 07624
(201) 564-7331
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
46TR004500
NJ
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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